Toddler Bedtime Routines and Associations With Nighttime Sleep Duration and Maternal and Household Factors
Toddler Bedtime Routines and Associations With Nighttime Sleep Duration and Maternal and Household Factors
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DOI：
10.5664/jcsm.7838
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发表时间：
2019-01-01
影响因子：
4.3
通讯作者：
Black, Maureen M.
中科院分区：
文献类型：
--
作者：
Covington, Lauren B.;Rogers, Valerie E.;Black, Maureen M.
研究目的：本研究的目的是检查 (1) 低收入少数族裔家庭的幼儿实施就寝时间、夜间醒来和夜间睡眠持续时间之间的关系，以及 (2) 为幼儿实施夜间就寝时间的母亲与未实施夜间就寝时间的母亲之间的母亲和家庭特征差异。 方法：从幼儿母亲那里收集有关母亲和家庭特征以及幼儿睡眠的数据，并使用儿童健康观察调查和扩展的睡眠进行测量。简短的婴儿睡眠问卷 (BISQ)。测试了路径分析模型，以调查夜间觉醒是否介导了就寝时间的执行和幼儿夜间睡眠持续时间之间的关系。我们进行了卡方检验，以检查过去 2 周内实行夜间就寝常规的母亲与未实行夜间就寝常规的母亲之间的母亲和家庭特征（即，母亲抑郁症状、食物、住房和能源不安全）之间的差异。 结果：实行就寝常规与通过减少夜间觉醒次数而延长幼儿睡眠时间相关（β = 5.04，95% 置信区间 = 0.61 至 11.35）。更一致的睡眠习惯与更少的夜间觉醒和更长的睡眠时间相关。产妇抑郁症状、住房不安全和食物不安全与执行每晚就寝时间的可能性降低有关。结论：产妇抑郁症状、食物不安全和家庭不安全（与社会经济地位低下相关的因素）可能与不良睡眠环境和幼儿睡眠质量差有关，这可能是因为就寝时间执行的减少。评论：对本文的评论出现在本期第 821 页。
Study Objectives: The aims of this study were to examine (1) relationships among implementing a bedtime routine, nighttime awakenings, and nighttime sleep duration in toddlers from low-income, minority families and (2) differences in maternal and household characteristics between mothers who did versus those who did not implement a nightly bedtime routine for their toddler.Methods: Data were collected from mothers of toddlers on maternal and household characteristics and toddler sleep, measured using the Children's HealthWatch Survey and the Extended Brief Infant Sleep Questionnaire (BISQ). A path analysis model was tested to investigate whether nighttime awakenings mediated the relation between implementing a bedtime routine and toddlers nighttime sleep duration. Chi-square tests were conducted to examine differences in maternal and household characteristics (le, maternal depressive symptoms, food, housing and energy insecurity) between mothers who did versus those who did not implement nightly bedtime routines over the past 2 weeks.Results: Implementing a bedtime routine was associated with longer toddler sleep duration through a decrease in nighttime awakenings (beta = 5.04, 95% confidence interval = 0.61 to 11.35). More consistent sleep routine implementation was associated with fewer nighttime awakenings and longer sleep duration. Maternal depressive symptoms, housing insecurity, and food insecurity were associated with decreased likelihood of implementing a nightly bedtime routine.Conclusions: Maternal depressive symptoms, food insecurity, and household insecurity (factors associated with low socioeconomic status) may be associated with a negative sleep environment and poor toddler sleep quality, potentially because of decreased implementation of bedtime routines. Commentary: A commentary on this article appears in this issue on page 821.